Amanda Favia, BCBA 1-25-85446

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-85446 Issued in IN

Practice address

10781 E Cherry Bend Rd
Traverse City, MI 49684-5249

Phone

(231) 268-0007

NPI assigned

Nov 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Achievers ABA LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1366037053
  NPD (past)
• Milestone Therapy

  • Pediatric Physical Therapist
  • Highland, IN
  • NPI 1396814828

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1508334301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3358 RENNIE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10781 E CHERRY BEND RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845249",
            "telephone_number": "231-268-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVIA",
        "first_name": "AMANDA",
        "credential": "BCBA 1-25-85446",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-25-85446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrell Medical Corporation
• Grace Farrell
• Debbie Lee Farron, RD
• Jesse Lynn Fasick
• Barbara Sharon Fasulo-Emmott, LPC, CCS-M
• Julie Fawaz
• Faye E. Youker, PLLC
• Roche J Featherstone, M.D.
• Christine Anne Fechter
• Margaret Jean Fedder, LLPC

• Behavior Analyst in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.